Abstract

Tamberi Parag, Kulkarni S. S.*, Sathe Ajit, Patil Abhijit and Atodharia Jayveer

ABSTRACT

Background: The GRACE risk score is a strong predictor of in hospital mortality across the spectrum of Acute coronary syndrome. The GRACE risk score can be useful to assist decision making with regard to management options in patients with ACS. The aim of the present study was to assess the correlation of GRACE risk score with coronary angiography in acute coronary syndrome patients. Material and Methods: A total of 105 patients with diagnosis of acute coronary syndrome were studied. GRACE risk score of all the patients was calculated bedside on admission and patients were categorized into different risk groups. Coronary angiography was performed once patients were stabilized. The score was then compared with coronary angiography. Results: On coronary angiography, 48.57% patients were diagnosed single vessel disease, 27.62% were double vessel disease and 22.86% were triple vessel disease. Majority of the patients were in the high risk category (63.81%) followed by intermediate risk group (24.76%) and low risk group (11.43%). On correlation between GRACE score with coronary angiography using Gensini score it was seen that there was positive and statistically significant association of Gensini score with the GRACE score. Conclusion: GRACE risk score is a reliable and easy tool in predicting the extent and severity and hence morbidity and mortality in ACS.